| NPI | 1386455145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: TX 98921) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2175102) |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-21 |