| NPI | 1477960565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CO PTL.0012714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0012714) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2020-12-03 |