| NPI | 1336483940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 4424) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 10194) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2024-07-18 |