| NPI | 1508289687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: LA A8271R) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA23633) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |