| NPI | 1548301609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2046043) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO 0013873) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2016-08-12 |