| NPI | 1952797136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2108503) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 09682) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |