| NPI | 1508830928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: 06002294A) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36000119A) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |