| NPI | 1740689405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY A03097) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.006518) |
| 225200000X Physical Therapy Assistant (Licence: IN 06004738A) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |