| NPI | 1124574173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR 4130) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA 4130) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2024-02-23 |