| NPI | 1477921096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 003239-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA23622) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |