| NPI | 1932455292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 1289) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO 12731) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2019-01-24 |