| NPI | 1770854655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 1086) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 004862) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |