| NPI | 1437596012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3842) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE009350) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |