| NPI | 1164826863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3635) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: DE J2-0000778) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |