| NPI | 1841302098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0013043) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT017324) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-08-01 |