| NPI | 1043379878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0003489) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CO PTL.0003489) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2017-11-10 |