| NPI | 1396052726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 3188) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 7344) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |