| NPI | 1295433191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA31577) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA004927) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |