| NPI | 1740373653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 1351) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA 000143) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |