| NPI | 1932226842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 0000000119) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2057159) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2016-11-02 |