| NPI | 1477841427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2120490) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A1251) |
| 225200000X Physical Therapy Assistant (Licence: WI 1564-19) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2020-04-16 |