| NPI | 1912440660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00334200) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 66010246) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |