| NPI | 1205553708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA CP029337A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A5876) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2024-03-08 |