| NPI | 1033579966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2015036824) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A-1210) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |