| NPI | 1619107711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 11032) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1189551) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2010-12-09 |