| NPI | 1831183078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 000006268) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV 000431) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2017-05-04 |