| NPI | 1245438027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2075579) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV PTA001299) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA21595) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2013-07-17 |