| NPI | 1639537236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM A-1207) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2116683) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |