| NPI | 1396313409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC CP030377A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06003518A) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2024-08-22 |