| NPI | 1841480860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0907) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 8177) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2011-06-26 |