| NPI | 1467812230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN PTA0000006184) |
| Additional Taxonomies | 171W00000X Contractor (Licence: KY A03424) |
| 225200000X Physical Therapy Assistant (Licence: KY PTA-A03424) | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2020-12-01 |