| NPI | 1922394600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 8494) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: RI PTA00805) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2023-10-16 |