| NPI | 1326718081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 4695) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A7568) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |