| NPI | 1154745578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 13251) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 41172) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501016629) | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2020-10-29 |