| NPI | 1366730368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA 22677) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502002000) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2024-06-10 |