| NPI | 1164190906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DC PTA2000008) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306605677) |
| 225200000X Physical Therapy Assistant (Licence: MD A5388) | |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2023-12-19 |