| NPI | 1437789708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2153278) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX CP001103A) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-03-18 |