| NPI | 1174903454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 1152) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 004851) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |