| NPI | 1023398328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NV A-0451) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160005833) |
| 225200000X Physical Therapy Assistant (Licence: WA P1 60627965) | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2016-03-25 |