| NPI | 1578934550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A4349) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306603721) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |