| NPI | 1073892691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A7798) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00061300) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2022-06-06 |