| NPI | 1215983309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014540) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 009937) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 026539) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2017-11-06 |