| NPI | 1013654268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2104536) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM PTA1219) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |