| NPI | 1023439726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 3532) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 09331) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2018-11-07 |