| NPI | 1982807343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 4642) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT11528) |
| 225100000X Physical Therapist (Licence: VA 2305003240) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |