| NPI | 1356715023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0326) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 1006) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |