| NPI | 1689163966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC PTA4036) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA27969) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-08-23 |