| NPI | 1386826345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: RI 00611) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 7753) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |