| NPI | 1861890329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 0012197) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02266) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |