| NPI | 1730435314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 005293-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 1017) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |