| NPI | 1902336589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI001893) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: PA TEI001893) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-07-06 |