| NPI | 1346665759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ A-0163) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NV A-0571) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |