| NPI | 1063800977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00316000) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 009622) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |