| NPI | 1689916082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 12322) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WY 0281) |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2013-03-23 |