| NPI | 1477074961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY A03606) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A5968) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |