| NPI | 1205068889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10430) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |