| NPI | 1588935340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 000742-1) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: NY 377948) |
| 222Q00000X Developmental Therapist (Licence: NY 000742-1) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |