| NPI | 1689199135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 041701-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0014915) |
| Enumeration Date | 2017-08-06 |
| Last Update Date | 2017-08-06 |