| NPI | 1962692137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3952) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 7884) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2018-04-25 |