| NPI | 1609033224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0010757) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: WI 6009-024) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-02-21 |