| NPI | 1417371840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA32057) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA003216) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2022-06-28 |