| NPI | 1609069467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE007893) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A01970) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-10-08 |