| NPI | 1164713475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2010027326) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2081338) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2021-11-02 |