| NPI | 1669033940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CO 0016442) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: CO 0016442) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |