| NPI | 1265885826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 17280) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62957) |
| 225100000X Physical Therapist (Licence: PA TPT021841) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2020-11-04 |