| NPI | 1265643118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA004173) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 06001842A) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-09-01 |