| NPI | 1952614984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 1232) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 802) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |