| NPI | 1376731067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2047369) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 712735) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |