| NPI | 1033510458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0574) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 4164) |
| 225200000X Physical Therapy Assistant (Licence: FL 19393) | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |