| NPI | 1215202007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 004853) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 1083) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-05-10 |