| NPI | 1467932947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR 4333) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AR PTA4333) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2024-02-21 |