| NPI | 1083945216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA 002671) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC PTA 2460) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-04-19 |