| NPI | 1457781783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 116009) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 2048-19) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2024-12-27 |