| NPI | 1053633081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VT 041.0063417) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 006677) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2017-03-01 |