| NPI | 1285016204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY A03296) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 25552) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-28 |