| NPI | 1003274119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 9139) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NH 1192) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |