| NPI | 1427300433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA.0012947) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A-0828) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |