| NPI | 1144435264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2078950) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AL PTA4952) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-12-21 |