| NPI | 1447702907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 9281) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A3269) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2021-05-04 |