| NPI | 1326628298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2160853) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM 1801) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-05-08 |