| NPI | 1932634490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 700) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 076290) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |