| NPI | 1881887669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 20473) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE1002593) |
| 225200000X Physical Therapy Assistant (Licence: PA TE007969) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2013-07-19 |