| NPI | 1912177809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 558) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA002163) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |