| NPI | 1285846147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 590-019) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 590019) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2010-02-01 |