| NPI | 1255879250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2124697) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 4119) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |