| NPI | 1023627270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI005796) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AL PTA8718) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-08-11 |