| NPI | 1043770811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD CP026096A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 2306604032) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-02-27 |