| NPI | 1992232128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 010808) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306604555) |
| 225200000X Physical Therapy Assistant (Licence: PA TE011127) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |