| NPI | 1407028327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2026219) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06002598A) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |