| NPI | 1821542515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306604374) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4465) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |