| NPI | 1881880219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 10963) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018904) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2017-02-28 |