| NPI | 1053011106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DC PTA2000031) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2025-08-06 |