| NPI | 1033259668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 1898) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 006127-1) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |