| NPI | 1457726101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO pta.0013503) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM a-0882) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |