| NPI | 1275960452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: 8475) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: 1013) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |