| NPI | 1629362736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 2198) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2652) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |