| NPI | 1821261538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: LA a4521) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2065062) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2020-10-22 |