| NPI | 1497967913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7152) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 1339) |
| 225100000X Physical Therapist (Licence: CO 3156) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |