| NPI | 1902155336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 14190) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 035496) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 035496) | |
| 225100000X Physical Therapist (Licence: NY 035496) | |
| 2251S0007X Physical Therapist, Sports (Licence: NY 035496) | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2017-03-16 |