| NPI | 1508025685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06634) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO MSPTL.0000018) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT008993) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2022-04-13 |