| NPI | 1396004297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A4377) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A0864) |
| 225200000X Physical Therapy Assistant (Licence: OR 8755) | |
| 225200000X Physical Therapy Assistant (Licence: WA P160262148) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2014-07-02 |