| NPI | 1841062254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 0015438) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 0015438) |
| 225400000X Rehabilitation Practitioner (Licence: CO 0015438) | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |