| NPI | 1972726065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV PTA 001284) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA002602) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-12-02 |