| NPI | 1003309303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DC PTA000178) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4983) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-12-27 |