| NPI | 1346735297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV 002460) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4834) |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2018-06-23 |