| NPI | 1629301239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI002216) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: DE J20000559) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |