| NPI | 1366864704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 5649) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MS PTA5238) |
| Enumeration Date | 2014-01-18 |
| Last Update Date | 2014-01-18 |