| NPI | 1689985574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL8301) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CO PT8391) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2015-08-15 |