| NPI | 1093133316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA CP024755A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO 0013258) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2023-08-31 |