| NPI | 1659187102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO MSPTA0000005) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 4280) |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |