| NPI | 1205104130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI003441) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE009118) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2014-02-18 |