| NPI | 1518025287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 7141) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: CO 7141) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-02-17 |