| NPI | 1003504861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA30373) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 30373) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |