| NPI | 1538620455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 5771) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 3455) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |