| NPI | 1942457064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014221) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 5906) |
| 225100000X Physical Therapist (Licence: VA 2305205596) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2016-12-14 |