| NPI | 1538207550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0011088) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2004021780) |
| 225100000X Physical Therapist (Licence: KS 11-03398) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2013-06-24 |