| NPI | 1710269188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 00748) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SD 0254) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |