| NPI | 1457710402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502008586) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2087103) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2024-05-30 |