| NPI | 1033844428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM PT-2023-2380) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2024-02-04 |