| NPI | 1285908368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE1000710) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI000710) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2021-06-04 |