| NPI | 1649536673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE009301) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NV A-0499) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |