| NPI | 1255777157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA003246) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A4812) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2014-04-11 |