| NPI | 1932656469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VT 041.0123046) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NH 1236) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |