| NPI | 1346987179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A4972) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A7750) |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2024-01-26 |