| NPI | 1841541331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 1148) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 004912) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |