| NPI | 1255808275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 027291) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041133) |
| 225100000X Physical Therapist (Licence: CO 0014595) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |