| NPI | 1538390679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502000003) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 06956) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2010-01-14 |