| NPI | 1982955795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL0011781) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CO PTL0011781) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |