| NPI | 1366440109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI001056) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE006843) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2022-07-06 |