| NPI | 1831515030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 23354) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 6276) |
| 225200000X Physical Therapy Assistant (Licence: WA p160113654) | |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |