| NPI | 1629234232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10119) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2015-06-02 |