| NPI | 1447420062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 001209) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 839) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2012-11-29 |