| NPI | 1326528274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO OR232358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT295197) |
| 225100000X Physical Therapist (Licence: CO 16009) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2023-09-28 |