| NPI | 1598080046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015202) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1182578) |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2020-09-03 |