| NPI | 1992992630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI001011) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE002793L) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2015-12-03 |