| NPI | 1326259458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2061380) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE007312) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-05-21 |