| NPI | 1336499896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0014715) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2795) |
| 225100000X Physical Therapist (Licence: FL PT27419) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2018-03-17 |