| NPI | 1457908774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 16549) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 16549) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2021-07-20 |