| NPI | 1083753891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 3592) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06002888a) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |