| NPI | 1902300924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2111999) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 4065) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |