| NPI | 1336410281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A4491) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 925) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |