| NPI | 1649615832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 1981) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 001166) |
| 225200000X Physical Therapy Assistant (Licence: TX 2094269) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |