| NPI | 1356558324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502000688) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-12-07 |