| NPI | 1568611986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0015961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205888) |
| 225100000X Physical Therapist (Licence: MD 22875) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 33849) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2019-05-22 |