| NPI | 1740290576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA25253) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306601794) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2015-05-01 |