| NPI | 1902107121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 2361) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 22168) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |