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 |