| NPI | 1376136630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR PTA4969) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OK 3310) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2024-09-26 |