| NPI | 1386989945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2085440) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 22461) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |