| NPI | 1861642605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE007146) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 2492) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |