| NPI | 1366783425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2173391) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO PTA.0012406) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2024-12-30 |