| NPI | 1376082693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2124978) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AL PTA7685) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |