| NPI | 1811260060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE1002765) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI002765) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2021-03-26 |