| NPI | 1750711073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 13260) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A1002) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |