| NPI | 1043792443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2-0225-9) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 2-0225-9) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |