| NPI | 1033967377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00414100) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 014253) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-09-06 |