| NPI | 1346699683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2185395) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC PTA5965) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-09-05 |