| NPI | 1093024440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA 23190) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A3770) |
| 225200000X Physical Therapy Assistant (Licence: VA 2306602282) | |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2013-02-05 |