| NPI | 1992219240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2007029193) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2017-11-23 |
| Last Update Date | 2017-11-23 |