| NPI | 1730546003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 0013593) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 1438) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2018-09-13 |