| NPI | 1407182942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2041184) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A-73) |
| Enumeration Date | 2009-10-18 |
| Last Update Date | 2014-08-14 |