| NPI | 1265724249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN PTA0000004230) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA002488) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |