| NPI | 1245352798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 3712) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 7768) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |