| NPI | 1134696891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 0000004174) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 4174) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |