| NPI | 1295073021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN PTA 5858) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA009383) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2016-04-21 |