| NPI | 1134581234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A2865) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI000294) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |