| NPI | 1831320498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306604567) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 2364) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2021-08-25 |