| NPI | 1235227562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 18913) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 2869) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-10-25 |