| NPI | 1366714214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 5916) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 004943) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |