| NPI | 1114341054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 3058) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AL 5149) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |