| NPI | 1477641652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 0013927) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT33036) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-08-31 |