| NPI | 1083864631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NV A-0506) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A2834) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2011-05-25 |