| NPI | 1457547077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 10931) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 33968) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2010-08-16 |