| NPI | 1558768911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA24541) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40qb00221600) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |