| NPI | 1265467427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR PTA 2481) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 20464) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-12-10 |