| NPI | 1073960811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AL PTA7320) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 5808) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |