| NPI | 1144466731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AL PTA1248) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |