| NPI | 1861750606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ID PTA-412) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: UT 8255910-2402) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |