| NPI | 1407222888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO MSPTL0000021) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT292663) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AK 102767) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-05-09 |