| NPI | 1356641641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018447) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT19236) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2022-09-20 |