| NPI | 1093246175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 6148) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE011133) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-22 |