| NPI | 1184024317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 0013330) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A-0083) |
| 225200000X Physical Therapy Assistant (Licence: MI 257357) | |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-09-16 |