| NPI | 1689998205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0012026) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CO 0012026) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2022-06-02 |