| NPI | 1255629614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2458) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 11293) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2015-09-22 |