| NPI | 1174988133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 073878) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 1252) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |