| NPI | 1427018654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 36000385A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06003779A) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36000385A) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2023-10-17 |