| NPI | 1174986830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AL 6254) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 5656) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-04-04 |