| NPI | 1194586172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CT 002345) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AL PTA8675) |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |