| NPI | 1467005884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DC PTA000215) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A5181) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2024-01-05 |