| NPI | 1780805580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL-10761) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 024964) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2016-08-17 |