| NPI | 1801397849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502005078) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4848) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-04-17 |