| NPI | 1295106185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA003878) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2066218) |
| Enumeration Date | 2015-10-17 |
| Last Update Date | 2026-01-09 |