| NPI | 1972790061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AK PHYA2706) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MS PA3126) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2022-12-23 |