| NPI | 1801145180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 184) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 40) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2012-09-02 |