| NPI | 1235473745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: HI 196) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225100000X Physical Therapist (Licence: HI 4013) | |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2016-12-28 |