| NPI | 1326396334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 13751) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9949) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2022-02-01 |