| NPI | 1275297822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A5825) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 7825) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |