| NPI | 1083136329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: CO PTL.0014738) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CO PTL.0014738) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2025-10-13 |