| NPI | 1093041188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 8350) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MA 3120) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-27 |