| NPI | 1538465448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA003691) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE006566) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2019-03-28 |