| NPI | 1972945640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3804) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: DE J2-0001100) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2018-03-17 |