| NPI | 1902160427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM A-1341) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225200000X Physical Therapy Assistant (Licence: CO PTA0013427) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2016-12-29 |