| NPI | 1881168938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 0016545) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OK 5228) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2020-01-28 |