| NPI | 1043312002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE006914) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV 000881) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |