| NPI | 1033249347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A2363) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306603805) |
| 225200000X Physical Therapy Assistant (Licence: GA PTA003179) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2014-09-22 |