| NPI | 1831237478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE002461L) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 1905) |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2008-12-04 |