| NPI | 1902033426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL A21665) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A2493) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |