| NPI | 1861551830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9821) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6157) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-02-10 |