| NPI | 1174725592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: LA A4945) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2057757) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |