| NPI | 1639147267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3573) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 2333) |
| 225100000X Physical Therapist (Licence: CO 0011896) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2013-03-06 |