| NPI | 1134955313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 50616) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 013008) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |