| NPI | 1104056746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 4003) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 2282) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |