| NPI | 1174161533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 18728) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872565) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: DC PT872565) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2022-11-14 |