| NPI | 1912428392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 050638) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0015002) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: IA 108018) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 050638) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2025-03-27 |