| NPI | 1932223153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA28067) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: RI 00446) |
| 225200000X Physical Therapy Assistant (Licence: MA 3978) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-03-23 |