| NPI | 1073890158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 007045-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 2387) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA22459) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |