| NPI | 1427930353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2187813) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 4063879) |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-25 |