| NPI | 1861771685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 566) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 00993) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |