| NPI | 1821502261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2087130) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA21225) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |