| NPI | 1336224070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0004867) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 4867) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-10-18 |