| NPI | 1437120326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A3773) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306601291) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2019-06-05 |