| NPI | 1245312461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 2147) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 0003914) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |