| NPI | 1083039028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A4026) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 4QB00300400) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |