| NPI | 1821045709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 10250) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 6638) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2010-11-09 |