| NPI | 1023559358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 27426) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 09698) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2018-12-20 |