| NPI | 1467609081 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0406) | 
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA13446) | 
| Enumeration Date | 2008-08-26 | 
| Last Update Date | 2008-08-26 |