| NPI | 1093055451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 2471) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA 003069) |
| 225200000X Physical Therapy Assistant (Licence: NC 5359) | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2014-08-01 |