| NPI | 1710208772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502001719) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06001846A) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2011-02-12 |