| NPI | 1073496485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 31341) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 54090) |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |