| NPI | 1457811770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DE J2-0011504) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A3826) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-07-02 |