| NPI | 1184852220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 8615A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A1175) |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2012-10-15 |