| NPI | 1720396658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 5240) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5240) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2018-06-07 |