| NPI | 1073954319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 5042) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 2953) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |