| NPI | 1316111701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 6504A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM 1627) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2020-11-02 |