| NPI | 1174772610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI000905) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE002546L) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2021-03-22 |