| NPI | 1316414311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A5118) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA TEO12011) |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2018-10-28 |
| Last Update Date | 2019-05-31 |