| NPI | 1215396817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2179306) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 26457) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2023-09-25 |