| NPI | 1750697199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 001341) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 229) |
| 225200000X Physical Therapy Assistant (Licence: KS 14-02040) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |