| NPI | 1568978260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA 003912) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 21680) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |