| NPI | 1932132875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 116745) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 1248) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |