| NPI | 1336142546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0016503) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1098267) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2021-12-28 |