| NPI | 1932590932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2095183) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 2430) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |