| NPI | 1023752391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 7940) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 9770) |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2022-04-23 |