| NPI | 1275131344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA004524) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA PTA004524) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |