| NPI | 1306663018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NJ 40B00401200) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 009423-01) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |