| NPI | 1851699888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AK 2036) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 3566) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |