| NPI | 1396861282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 5371) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306601641) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-11-13 |