| NPI | 1497211742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 011989) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA28735) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2020-07-23 |