| NPI | 1437915154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ PTA-014227) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: AZ PTA-014227) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: AZ PTA-014227) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: AZ PTA-014227) | |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |