| NPI | 1316063852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV PTA 254) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD PTA 1753) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |