| NPI | 1699934059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: CO PTL.0003355) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0003355) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2017-11-09 |