| NPI | 1003064775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 4230) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2008018158) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2009-07-10 |