| NPI | 1679085476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 225200000x) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306603547) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |