| NPI | 1346504370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2137410) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2012019887) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2024-07-24 |