| NPI | 1528355575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR 2430) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AL 6676) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2019-03-20 |