| NPI | 1518432202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225200000X Physical Therapy Assistant (Licence: VA 2306604616) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |