| NPI | 1346722337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2039030) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: 2039030) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |