| NPI | 1265738777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306603001) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA22338) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |