| NPI | 1083240675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A5156) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 011736) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-19 |