| NPI | 1225183668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 7094) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CO 7094) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CO 7094) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-09 |