| NPI | 1295293348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306604325) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: VA 2306604325) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2022-07-14 |