| NPI | 1235915075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306606242) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 8276) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |