| NPI | 1609969054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0005938) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 5938) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-10-18 |