| NPI | 1558605444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA31168) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI00165) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2022-06-14 |