| NPI | 1710265186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 926) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: IA B-12-229-11) |
| 225200000X Physical Therapy Assistant (Licence: IA 00646) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |