| NPI | 1750720645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A4831) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 2304) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |