| NPI | 1194151332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 009059) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY P90704) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2015-08-05 |