| NPI | 1801098959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 3732) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA18467) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |