| NPI | 1043869324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502005722) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA31776) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2023-06-15 |