| NPI | 1174082689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ND A1223) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: LA A8978) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |