| NPI | 1801322631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI004095) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 007013) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |