| NPI | 1023747789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: LA CP012000A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MS CP011110A) |
| 225200000X Physical Therapy Assistant (Licence: MO 2019027343) | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |