| NPI | 1245357631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE1002463) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 3783) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2010-12-08 |