| NPI | 1447621487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0566) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 9018) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |