| NPI | 1568610269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 086697) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35807) |
| 225100000X Physical Therapist (Licence: CO 10039) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2019-11-11 |