| NPI | 1750831103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2124615) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2018-05-24 |