| NPI | 1396120077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2085300) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2019-12-02 |