| NPI | 1699097519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3489) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI000285) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |