| NPI | 1144360934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE00714) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP006466) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-10-09 |