| NPI | 1811224108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 5802A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 7915) |
| Enumeration Date | 2009-11-08 |
| Last Update Date | 2009-11-08 |