| NPI | 1902128622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0015090) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: CA 14531) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA 14531) | |
| 2251S0007X Physical Therapist, Sports (Licence: CA 14531) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 14531) | |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2021-10-20 |