| NPI | 1649661208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL.0010933) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 11369) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |