| NPI | 1023254901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ID PTA-2463) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 8573) |
| 225200000X Physical Therapy Assistant (Licence: TX 2125143) | |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2016-10-11 |