| NPI | 1578831400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 3299) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI001995) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2018-03-17 |