| NPI | 1598118127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 31964) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CO 14038) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL.0014038) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2022-02-23 |