| NPI | 1285860916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0012765) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10629) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2022-04-28 |