| NPI | 1851735526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CO PTL.0012071) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0012071) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2016-01-21 |