| NPI | 1801103361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SD 0285) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 001413) |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2010-09-04 |