| NPI | 1558510305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CO 7563) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009442) |
| 225100000X Physical Therapist (Licence: CO 7563) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2020-04-01 |