| NPI | 1295949345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 8099) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00226100) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |