| NPI | 1356663694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2057243) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 2978) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2019-05-09 |