| NPI | 1821203845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2059073) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA 2138) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2009-09-08 |