| NPI | 1346413804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA21191) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2012-08-31 |