| NPI | 1407127665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE008656) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00285900) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-04-12 |