| NPI | 1972995066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA 001910) |
| Additional Taxonomies | 171W00000X Contractor (Licence: GA PTA 001910) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2016-07-15 |