| NPI | 1609826619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 234019) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-08-15 |