| NPI | 1093345233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV 002438) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306604983) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |