| NPI | 1427580984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306604354) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV PTA 001705) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |