| NPI | 1255856647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 011019) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |