| NPI | 1528430063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 639) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 2891) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |