| NPI | 1730584665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0012556) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1130201) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |