| NPI | 1881085280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CT 001493) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 8938) |
| Enumeration Date | 2015-02-07 |
| Last Update Date | 2018-10-25 |