| NPI | 1881168276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CO 0016102) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0016102) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2020-02-25 |