| NPI | 1932459252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306603402) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 008428) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |