| NPI | 1215591797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2145265) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06005307A) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |