| NPI | 1518270156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 599) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE010140) |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2014-05-28 |