| NPI | 1316585276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2172056) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA004357) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2025-05-07 |