| NPI | 1578708491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 1531-019) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 20059) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |