| NPI | 1982879672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE006886) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 004088-1) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |