| NPI | 1124665740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY A04066) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2150938) |
| 225200000X Physical Therapy Assistant (Licence: ME PA4499) | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |