| NPI | 1720228943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0864) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VT 041-0000529) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |