| NPI | 1295087369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502002994) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2091970) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-17 |