| NPI | 1649466889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 072199) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 809) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2020-07-13 |