| NPI | 1114042397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE1000180) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV 916) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-06-15 |