| NPI | 1336570282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 21903) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA002674) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2019-01-03 |