| NPI | 1902922610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35067) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22766) |
| 225100000X Physical Therapist (Licence: CO 10201) | |
| 225100000X Physical Therapist (Licence: PA 18462) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2010-03-16 |