| NPI | 1891945200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 006466-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA002506) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |