| NPI | 1629166525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY A02238) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06003266A) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2009-04-30 |