| NPI | 1346594538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2153351) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06003594A) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2023-04-08 |