| NPI | 1083075022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 073658) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SD 0422) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |