| NPI | 1508390402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A1789) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 1746) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |