| NPI | 1588120786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 2838-19) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502005436) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |