| NPI | 1366085185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 1660) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 50033) |
| 225200000X Physical Therapy Assistant (Licence: IA 090978) | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |