| NPI | 1417190547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 2024) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 4061) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |