| NPI | 1427337237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 8220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT15414) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |