| NPI | 1508197187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 21992) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502000875) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2014-09-03 |