| NPI | 1659499457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9001) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 9001) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-02-01 |