| NPI | 1508220914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI004471) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4077) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |