| NPI | 1679857395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 00340) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SD 0084) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |