| NPI | 1245357011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CO 3863) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 3863) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2022-08-21 |