| NPI | 1972997013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI000948) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00248000) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |