| NPI | 1053681312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR 2346) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2009024850) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |