| NPI | 1851871180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2072951) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: TX 2072951) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |