| NPI | 1427312651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MT 1554) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ID 2145) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |