| NPI | 1255811469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD CP015184A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306605167) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-04-07 |