| NPI | 1538338017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0787) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 7890) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2015-04-29 |