| NPI | 1235384512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 4406) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 19533) |
| Enumeration Date | 2008-11-30 |
| Last Update Date | 2008-11-30 |