| NPI | 1396044228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 4273) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 18387) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2012-02-07 |