| NPI | 1518243732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2085893) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 4312) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |