| NPI | 1740664143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA 24201) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4450) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2018-12-21 |