| NPI | 1033319710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 2712) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-10-27 |