| NPI | 1801030283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VT 041-0000554) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NH 0818) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |