| NPI | 1235254236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SD 0266) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 01069) |
| 225200000X Physical Therapy Assistant (Licence: NE 746) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-09-03 |