| NPI | 1598921868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTL.0010759) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012497) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2022-06-17 |