| NPI | 1184963464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: RI 00838) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 8708) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |