| NPI | 1538558713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 09137) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NV A- 0735) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-06-02 |