| NPI | 1194591842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM PTA1719) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 51959) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |