| NPI | 1386989598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2109841) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI003138) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2020-03-07 |