| NPI | 1073892287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MT 2262) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT2756) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |