| NPI | 1447809413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 012221) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2147971) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |