| NPI | 1801224357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 13212) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A5092) |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2014-02-04 |