| NPI | 1700072568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 10796) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2007022046) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2013-07-12 |