| NPI | 1750403689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE1001754) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: PA 222416) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-04-27 |