| NPI | 1982836664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 007156-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 001018) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |