| NPI | 1780093252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06004861A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502002630) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |