| NPI | 1063390102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ND 1348A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A3090) |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |