| NPI | 1316278997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 007228-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 001081) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |