| NPI | 1861515975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 006702) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00238100) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2011-06-01 |