| NPI | 1831383512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 0013153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT33841) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2018-07-02 |