| NPI | 1205185972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA20722) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MS PTA4671) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2014-08-25 |