| NPI | 1861729741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 2385) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 2123) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |