| NPI | 1730572751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA25604) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00317100) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |