| NPI | 1265644124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 3653) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NV A-0296) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2025-09-17 |