| NPI | 1023134954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2073007) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 00435) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2013-12-04 |