| NPI | 1043510639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2127726) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306602886) |
| 225200000X Physical Therapy Assistant (Licence: TN 6393) | |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2018-03-21 |