| NPI | 1437362050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 7778) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 20657) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |