| NPI | 1306660311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR 2350) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA2350) |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |