| NPI | 1013164839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306603448) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE008077) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2022-04-20 |