| NPI | 1336708395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DC PTA000183) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4926) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |