| NPI | 1295449247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR 1482) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 31419) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |