| 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 |