| NPI | 1467502450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0017588) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11217) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CO 17588) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-06-23 |