| NPI | 1619992534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 2745) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9724) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-11-17 |