| NPI | 1710318613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2100523) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306603732) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2014-03-19 |