| NPI | 1922056639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CO 7221) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 7221) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-03-25 |