| NPI | 1093395865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 7373) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO CP004444A) |
| 225200000X Physical Therapy Assistant (Licence: MS CP025318A) | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2025-05-23 |