| NPI | 1639307788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 10208) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18455) |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2010-10-07 |