| NPI | 1295888568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 13766) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1034791) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-06-26 |