| NPI | 1033449020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA te006851) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 0054254) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |