| NPI | 1184279762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 32071) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2148070) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2022-07-26 |