| NPI | 1831564731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 9625A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A-0897) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |