| NPI | 1033570007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM PTA1631) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO 0013799) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2024-12-30 |