| NPI | 1295121507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD #A4206) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 09567) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |