| NPI | 1043571755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2092889) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 22139) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2018-08-21 |