| NPI | 1689851255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 219) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2025377) |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2008-01-26 |