| NPI | 1366133571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A6051) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A8093) |
| 225200000X Physical Therapy Assistant (Licence: PA TEI006415) | |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2025-11-14 |