| NPI | 1184000119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 5686) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A5686) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2022-07-21 |