| NPI | 1699185447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI001253) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA21086) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |