| NPI | 1902231855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 00802) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.006322) |
| 225200000X Physical Therapy Assistant (Licence: CA AT 6448) | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |