| NPI | 1538551940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV 001920) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4012) |
| Enumeration Date | 2015-02-22 |
| Last Update Date | 2015-02-22 |