| NPI | 1043066285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM PTA1931) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2173489) |
| 225200000X Physical Therapy Assistant (Licence: OR 10146) | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |