| NPI | 1841608353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 24681) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A6541) |
| 225200000X Physical Therapy Assistant (Licence: GA 003365) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2018-11-27 |