| NPI | 1073784658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: CO PTL.0002832) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0002832) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2016-06-27 |