| NPI | 1124468863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3934) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2083788) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |