| NPI | 1841499787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MT 1898) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ID PTA-426) |
| 225200000X Physical Therapy Assistant (Licence: NM A-0571) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |