| NPI | 1700397841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO Ptl.0015160) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 39302) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |