| NPI | 1184313710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA CP021356A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A2661) |
| 225200000X Physical Therapy Assistant (Licence: WI 3253) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-02 |