| NPI | 1932378072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 10511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2588) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2021-05-12 |