| NPI | 1871807008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI L1667975) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.002393) |
| 225200000X Physical Therapy Assistant (Licence: NY 005295-1) | |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |