| NPI | 1023243920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2006032149) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 106.004408) |
| 225200000X Physical Therapy Assistant (Licence: AR 1755) | |
| 225200000X Physical Therapy Assistant (Licence: FL 20310) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |