| NPI | 1073805966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA 002742) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 007314) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |