| NPI | 1952873903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI005198) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4589) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |