| NPI | 1740209592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0058454) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 251577) |
| 225100000X Physical Therapist (Licence: MA 17313) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-09-12 |