| NPI | 1386217412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA19697) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: DE J2-0011528) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2023-03-23 |