| NPI | 1386360923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2172755) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 4790) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |