| NPI | 1396983086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209079) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10218) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2017-02-17 |