| NPI | 1437452042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH EL14010) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 21924) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2024-04-15 |