NPI | 1386158376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 18185) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0425861) |
Enumeration Date | 2017-11-29 |
Last Update Date | 2022-07-05 |