| NPI | 1235673443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 15201) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 12745) |
| 225100000X Physical Therapist (Licence: NC 16589) | |
| 225100000X Physical Therapist (Licence: NY 040571) | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2018-05-16 |