| NPI | 1326396706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2145210) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO 0012904) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2020-10-30 |