| NPI | 1508308883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 8631) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: RI PTA00855) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |