| NPI | 1225421993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA19802) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: FL 19802) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-04-06 |