| NPI | 1780070920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE010375) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2108840) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |