| NPI | 1386184042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06005457A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502004899) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |