| NPI | 1033792213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A5254) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV 002598) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-09-17 |