| NPI | 1427870229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN PTA0000008649) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 011650-01) |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |