| NPI | 1124470687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2120280) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: DE J2-0000880) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |