| NPI | 1881995991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 2182) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 001521) |
| 225200000X Physical Therapy Assistant (Licence: NC A1847) | |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |