| NPI | 1437548500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0015426) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY 1407) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2019-03-24 |