| NPI | 1003383282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306605256) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ID 5923) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |