| NPI | 1134691843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 091040) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 1741) |
| 225200000X Physical Therapy Assistant (Licence: SD 0556) | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |