| NPI | 1023072188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 0004838) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 5264) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-04-13 |