| NPI | 1982997615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI002993) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE008527) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2019-01-07 |