| NPI | 1033369111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A3938) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA19290) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |