| NPI | 1457313686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-1314) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8520) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2011-04-27 |