| NPI | 1831481118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI002869) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |