| NPI | 1821497595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: UT 10526181-2402) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 2196-19) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2017-11-29 |