| NPI | 1447450648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0733) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 7790) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2015-11-20 |