| NPI | 1871669028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PT 9562) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TN 9020) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-01-03 |