| NPI | 1861890238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0013066) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1247082) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-17 |