| NPI | 1649590316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DE J2-0000758) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A3320) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |