| NPI | 1952569311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CT 000863) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 8020) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2008-06-01 |