| NPI | 1295519601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK TA841) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TA841) |
| 225200000X Physical Therapy Assistant (Licence: OK 841) | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |