| NPI | 1245592609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 2780) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 5034) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2023-07-08 |