| NPI | 1336102292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 5198) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1194) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2013-07-01 |