| NPI | 1336629328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2141976) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 21419) |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2018-08-19 |