| NPI | 1013424365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 12616APTA) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A03531) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-03-17 |