| NPI | 1225683246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0017009) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO PTA.0014537) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2020-06-16 |