| NPI | 1033532106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA.0012606) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ND 1022) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |