| NPI | 1023427846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI0002576) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV 0000868) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-01-09 |