| NPI | 1164831061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A4010) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 008954) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2020-10-25 |