| NPI | 1922162965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A4756) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 19691) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2021-05-17 |