| NPI | 1083137566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2071091) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 6078) |
| 225200000X Physical Therapy Assistant (Licence: SC 3593) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |