| NPI | 1417485863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 1125) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 8888) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2018-03-17 |