| NPI | 1073991311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 0012790) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 10823) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |