| NPI | 1215135884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL9994) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23445) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2008-06-11 |