| NPI | 1225317324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ID PTA-2257) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: UT 7585727-2402) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |