| NPI | 1205062908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 24110) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA 002403) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2017-02-28 |