| NPI | 1285768283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PT11502) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22994) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-11-01 |