| NPI | 1174881734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 12268) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2092618) |
| 225200000X Physical Therapy Assistant (Licence: TN 5010) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2024-05-22 |