| NPI | 1083121727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 9845) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA003956) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2024-09-16 |