| NPI | 1689072050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 009215) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2082466) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |