| NPI | 1033442215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 791) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 1138) |
| 225200000X Physical Therapy Assistant (Licence: SD 235) | |
| Enumeration Date | 2009-09-06 |
| Last Update Date | 2009-09-06 |