| NPI | 1528332731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 11545) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 1129524) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2018-05-30 |