| NPI | 1508311572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A4528) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: DE J2-0001072) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |