| NPI | 1063638856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 20022) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 4890977-2401) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2024-08-16 |