| NPI | 1407165913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 11455) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 11455) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2018-03-17 |