| NPI | 1194352385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306605571) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE012432) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |