| NPI | 1922440239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: RI 00788) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 08933) |
| Enumeration Date | 2013-07-28 |
| Last Update Date | 2013-07-28 |