| NPI | 1427508886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 0013982) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 1081) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |