| NPI | 1295224863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015323) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210697) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |