| NPI | 1497758403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 3393) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 3711) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-07-21 |