| NPI | 1427376029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502002224) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2075730) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |