| NPI | 1689046237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 526) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 7675) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |