| NPI | 1356572044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL-9627) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34885) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2019-07-23 |