| NPI | 1427549336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 9872) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 6615) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2021-04-13 |