| NPI | 1003541731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE013079) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00374400) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |