| NPI | 1306133228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0012082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P13217) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2016-03-16 |