| NPI | 1013614718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD 5516) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 012457) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |