| NPI | 1013033729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306602993) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 20180) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-10-07 |