| NPI | 1194237362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI005354) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4826) |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2019-11-19 |