| NPI | 1861726143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL-8076) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 30162) |
| Enumeration Date | 2009-09-20 |
| Last Update Date | 2009-09-20 |