| NPI | 1376313098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ PTA-014522) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA31300) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-03-23 |