| NPI | 1669420287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 4323) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 3079024) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-10-23 |