| NPI | 1356089817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2020021918) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR CP011440A) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-08-25 |