| NPI | 1972862621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 12305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1620499) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2013-12-19 |