| NPI | 1245569565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160129470) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 005808) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2012-03-19 |