| NPI | 1306145065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA004733) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A3291) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2023-07-18 |