| NPI | 1457605834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.005707) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A02721) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |