| NPI | 1851697924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0780) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A02211) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |