| NPI | 1275887986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2100730) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2022-11-03 |