| NPI | 1083029904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2103367) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 4052041) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-07-18 |