| NPI | 1952619850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0014469) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 20937) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2020-10-26 |