| NPI | 1720657802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 20708) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 16193) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CO CP042526T) | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2025-07-01 |