| NPI | 1134978141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2052740) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |