| NPI | 1366958670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NE 1623) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2024-03-01 |