| NPI | 1467873893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039408) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0012333) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2015-11-10 |