| NPI | 1407667165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA CP039038A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-16 |