| NPI | 1023783057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK 3345) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 9097) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |