| NPI | 1043721582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA0014154) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A3964) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |