| NPI | 1164849048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3824) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: DE J2-0000870) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |