| NPI | 1992142590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MS 5010) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 5152) |
| 225200000X Physical Therapy Assistant (Licence: AL 6301) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |