| NPI | 1043480668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: CO PTL.0003944) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0003944) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2021-07-06 |