| NPI | 1568720068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA002927) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 2774) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |