| NPI | 1295227106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3674) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2019-10-08 |