| NPI | 1356612360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI L2080731) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT8593) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |