| NPI | 1093289324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2113112) |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2021-07-01 |