| NPI | 1073251765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA.0015169) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0026233) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2025-01-07 |