| NPI | 1306336243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 2635-19) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 089016) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |