| NPI | 1003286568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06004464A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A03380) |
| 225200000X Physical Therapy Assistant (Licence: OR 09159) | |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |