| NPI | 1043851272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0013267) |
| 225100000X Physical Therapist (Licence: OK 6398) | |
| 2251S0007X Physical Therapist Sports (Licence: CO PTL0013267) | |
| 2251S0007X Physical Therapist Sports | |
| 2251X0800X Physical Therapist Orthopedic (Licence: CO PTL0013267) | |
| 2251X0800X Physical Therapist Orthopedic | |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2023-07-21 |