| NPI | 1881196111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA.0014341) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WY 0949) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2019-10-24 |