| NPI | 1700035417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2004030796) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 00619) |
| 225200000X Physical Therapy Assistant (Licence: GA PTA002198) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |