| NPI | 1285998195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA-12149) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P160043572) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |