| NPI | 1184874992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA25478) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06002292a) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2015-04-08 |