| NPI | 1184356149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 32081) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 1899) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-07-12 |