| NPI | 1881940815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 8649) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA20954) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |