| NPI | 1679781934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 8892) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 27107) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2007-07-08 |