| NPI | 1346598448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06002767A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A02042) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |