| NPI | 1285439349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 2174983) |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |