| NPI | 1619099694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0006611) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT20965) |
| 225100000X Physical Therapist (Licence: CO 6611) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-04-13 |