| NPI | 1437713393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 9616) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2141666) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |